4,757 results match your criteria: "University of Exeter Medical School[Affiliation]"

Exercise-induced muscle damage is common in athletes and recreational exercisers and can lead to muscle soreness, weakness, and impaired muscle function. The precise mechanisms are unclear but oxidative stress and inflammation are thought to play a role. (Poly)phenols are substances abundant in berries that have been suggested to possess antioxidant and anti-inflammatory effects that could help improve exercise performance and/or recovery from exercise.

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Making a HIIT: Methods for quantifying intensity in high-intensity interval training in schools and validity of session rating of perceived exertion.

J Sports Sci

September 2023

Children's Health and Exercise Research Centre, Public Health and Sports Sciences, University of Exeter Medical School, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.

Using the data from , this paper aimed to: 1) investigate the different heart rate (HR) quantification methods reported in school-based high-intensity interval training (HIIT) studies; and 2) assess the criterion validity of session rating of perceived exertion (RPE). During an 8-week HIIT intervention, 213 students (13.1 (0.

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Pre-diagnostic prescription patterns in bladder and renal cancer: a longitudinal linked data study.

Br J Gen Pract

March 2024

Department of Public Health and Primary Care, University of Cambridge, Cambridge; Wolfson Institute of Population Health, Queen Mary University of London, London.

Article Synopsis
  • The study investigates prescription patterns leading up to diagnoses of renal and bladder cancer to identify potential early warning signs for timely investigations.
  • Analyzing data from patients diagnosed between 2012 and 2015 in England, researchers focused on prescriptions related to urological symptoms and infections up to two years before the diagnosis.
  • Findings revealed that UTI prescriptions notably increased nine months prior to cancer diagnoses, indicating a critical window for earlier diagnosis, especially in females with bladder cancer.*
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Impact of pre-biologic impairment on meeting domain-specific biologic responder definitions in patients with severe asthma.

Ann Allergy Asthma Immunol

May 2024

Observational and Pragmatic Research Institute, Singapore, Singapore; Optimum Patient Care Global, Cambridge, United Kingdom; Division of Applied Health Sciences, Centre of Academic Primary Care, University of Aberdeen, Aberdeen, United Kingdom. Electronic address:

Background: There is little agreement on clinically useful criteria for identifying real-world responders to biologic treatments for asthma.

Objective: To investigate the impact of pre-biologic impairment on meeting domain-specific biologic responder definitions in adults with severe asthma.

Methods: This was a longitudinal, cohort study across 22 countries participating in the International Severe Asthma Registry (https://isaregistries.

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Risk Factors for Young-Onset Dementia in the UK Biobank.

JAMA Neurol

February 2024

Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Alzheimer Center Limburg, Maastricht University, Maastricht, the Netherlands.

Importance: There is limited information on modifiable risk factors for young-onset dementia (YOD).

Objective: To examine factors that are associated with the incidence of YOD.

Design, Setting, And Participants: This prospective cohort study used data from the UK Biobank, with baseline assessment between 2006 and 2010 and follow-up until March 31, 2021, for England and Scotland, and February 28, 2018, for Wales.

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Article Synopsis
  • The study explores the differences in how caregivers and individuals with dementia perceive the difficulties experienced due to dementia, focusing on caregiver and dyadic characteristics that may influence these perspectives.
  • Data from 1,038 community-dwelling individuals with mild-to-moderate dementia and their spouse/partner caregivers were analyzed using the RADIX checklist, revealing that caregivers generally reported more difficulties than the individuals with dementia themselves.
  • Higher caregiver stress levels were linked to greater differences in reported difficulties and were also influenced by the caregiver's sex and the dementia partner's mood, indicating that caregiver assessments could provide insights into awareness of the condition and the dynamics of caregiver stress.
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A low carbohydrate, high fat (LCHF) diet in athletes increases fat oxidation but impairs sports performance, potentially due to impaired exercise economy. Dietary nitrate supplementation can improve exercise economy via an increase in nitric oxide production, which is initiated by the reduction of nitrate to nitrite within the oral cavity. This reaction is dependent on the presence of nitrate-reducing oral bacteria, which can potentially be altered by dietary changes, including a LCHF diet.

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Developing ophthalmology in Cambodia.

Eye (Lond)

April 2024

College of Health and Life Sciences, Aston University, Birmingham, UK.

Article Synopsis
  • Over 180,000 people in Cambodia are blind, with 90% of blindness being avoidable and primarily caused by cataracts.
  • The Khmer Sight Foundation (KSF), founded by Professor Sunil Shah and Sean Ngu, aims to create a sustainable eye care model in Cambodia through building infrastructure, addressing a backlog of cataract patients, and developing education programs for future eye care professionals.
  • KSF's initiatives focus on improving eye care accessibility and training local ophthalmologists to reduce avoidable blindness in the country.
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Objectives: This study aimed to develop a simulation model to support orthopaedic elective capacity planning.

Methods: An open-source, generalisable discrete-event simulation was developed, including a web-based application. The model used anonymised patient records between 2016 and 2019 of elective orthopaedic procedures from a National Health Service (NHS) Trust in England.

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Background: Empirical research indicates that impulsive processes that operate below conscious monitoring can undermine peoples' attempts to change behaviour patterns, especially those that have become habitual. This may, therefore, be a serious challenge for those trying to lose weight. A novel smartphone app-based intervention (ImpulsePal) offers practical strategies to manage impulsive urges to facilitate reductions in the consumption of energy-dense processed food and overeating.

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Machine learning and machine teaching in histopathology.

Pathol Res Pract

January 2024

Department of Cellular Pathology, Musgrove Park Hospital, Taunton TA1 5DA, UK. Electronic address:

An artificial intelligence (AI) platform was trained by a consultant histopathologist to classify whole slide images (WSIs) of large bowel biopsies. Six medical students viewed WSIs of five large bowel biopsy cases and assigned the WSIs to one of the nine diagnostic categories. Then the students compared their answers with those generated by the AI.

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The nitrate (NO3-) reducing bacteria resident in the oral cavity have been implicated as key mediators of nitric oxide (NO) homeostasis and human health. NO3--reducing oral bacteria reduce inorganic dietary NO3- to nitrite (NO2-) via the NO3--NO2--NO pathway. Studies of oral NO3--reducing bacteria have typically sampled from either the tongue surface or saliva.

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Article Synopsis
  • People with cancer often face higher risks of developing venous thromboembolism (VTE), but the link between VTE and cancer risk isn't fully understood.
  • A study used genetic data to examine whether VTE could be a risk factor for various cancers and vice versa, but found no strong causal connection.
  • Although there was a slight association between VTE risk and pancreatic cancer, it was influenced by blood type and didn't indicate a direct cause-and-effect relationship; overall, the findings suggest that existing links between VTE and cancer are likely due to other factors related to cancer itself.
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Chronic kidney disease of unknown aetiology in Africa: A review of the literature.

Nephrology (Carlton)

April 2024

Faculty of Medicine, School of Public Health, The University of Queensland, Brisbane, Queensland, Australia.

During the last two decades, an epidemic of a severe form of chronic kidney disease (CKD) unrelated to traditional risk factors (diabetes and hypertension) has been recognized in low- to middle-income countries. CKD of unknown aetiology (CKDu) mainly affects young working-age adults, and has become as an important and devastating public health issue. CKDu is a multifactorial disease with associated genetic and environmental risk factors.

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Article Synopsis
  • iWHELD is a digital care program for dementia patients in nursing homes, tested during the COVID-19 pandemic using a trial involving 149 UK nursing homes.
  • The trial showed that iWHELD improved the overall quality of life and reduced psychotropic medication use among participants without increasing agitation, especially benefitting those with pre-existing agitation or who contracted COVID-19.
  • iWHELD is highlighted as a valuable, safe tool for enhancing dementia care during challenging times and should be considered alongside other treatments for neuropsychiatric symptoms.
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Marine Protected Area Expansion and Country-Level Age-Standardized Adult Mortality.

Ecohealth

September 2023

Department of Medicine, Division of Occupational, Environmental and Climate Medicine, University of California, San Francisco, 490 Illinois Street, San Francisco, CA, 94143, USA.

Many countries have adopted targets to increase marine protected areas (MPAs) to limit the degradation of water bodies. Although there is evidence that MPAs can conserve marine life and promote biodiversity, there are limited data on the human health implications of MPAs. Using panel data from 1990, 2000, and 2014, we estimated the country-level associations between MPAs (i.

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Background: Mental health conditions represent one of the major groups of non-transmissible diseases. Physical activity (PA) and sedentary time (ST) have been shown to affect mental health outcomes in opposite directions. In this study, we use accelerometery-derived measures of PA and ST from the UK Biobank (UKB) and depression, anxiety and well-being data from the UKB mental health questionnaire as well as published summary statistics to explore the causal associations between these phenotypes.

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Aims: We evaluated the effectiveness of an intervention to improve the care of people with diabetes undergoing surgery when implemented across multiple organisations.

Methods: This was an observational study using routinely collected data. Eight hospitals in England implemented the Improving the Peri-operative Pathway of People with Diabetes (IP3D) intervention, with pre-implementation data collected from 1st February to 31st July 2019 and post-implementation data collection within the period 1st February to 31st October 2021.

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Molecular docking studies on α-amylase inhibitory peptides from milk of different farm animals.

J Dairy Sci

May 2024

Department of Food Science, College of Agriculture and Veterinary Medicine, United Arab Emirates University, Al Ain, 15551, United Arab Emirates; Zayed Centre of Health Science, United Arab Emirates University, Al Ain 15551, United Arab Emirates. Electronic address:

Article Synopsis
  • Milk-derived peptides are being researched for their potential in managing diabetes, specifically through probiotic fermentation methods.
  • Results showed that peptides from fermented milk, particularly those derived from camel and goat milk, had the strongest inhibitory effects on pancreatic α-amylase (PAA), an enzyme involved in carbohydrate digestion.
  • The study suggests that these fermented peptides could be effective in diabetes management by inhibiting PAA activity.
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Background: Excessive daytime sleepiness (EDS), experienced in 10% to 20% of the population, has been associated with cardiovascular disease and death. However, the condition is heterogeneous and is prevalent in individuals having short and long sleep duration. We sought to clarify the relationship between sleep duration subtypes of EDS with cardiovascular outcomes, accounting for these subtypes.

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Article Synopsis
  • A systematic review was conducted to explore how to include the perspectives of individuals with moderate-to-severe dementia in research, which is often overlooked.
  • The review analyzed seven studies that used various communication tools (like Talking Mats and consultation ballots) to assess their effectiveness and the strengths/limitations of each tool in different contexts.
  • While all tools had their benefits, the review concluded that there wasn't a one-size-fits-all solution; researchers should choose the tool that best fits their specific situation and the needs of the participants.
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Any Decrease in Lung Function is Associated With Worse Clinical Outcomes: Post Hoc Analysis of the IMPACT Interventional Trial.

Chronic Obstr Pulm Dis

January 2024

Centre for Respiratory Medicine and Allergy, Institute of Inflammation and Repair, Manchester Academic Health Science Centre, University of Manchester, Manchester University National Health Service Foundation Trust, Manchester, United Kingdom.

Article Synopsis
  • The article lacks an abstract, which is a brief summary typically outlining the main points or findings.
  • This absence may make it harder for readers to quickly grasp the article's content or significance.
  • Without an abstract, readers might need to delve deeper into the text to understand its key themes and conclusions.
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Article Synopsis
  • This study explores how loneliness and social isolation affect life satisfaction for people with dementia and their spousal caregivers.
  • The research used data from 1042 caregiving pairs in the IDEAL program, measuring loneliness and social isolation through established scales.
  • Findings indicate that while loneliness negatively impacts life satisfaction for both groups, a positive relationship quality can lessen these effects, suggesting that interventions should address the experiences of both partners to improve overall well-being.*
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Background: As a consequence of their occupation, doctors and other healthcare workers were at higher risk of contracting coronavirus disease 2019 (COVID-19), and more likely to experience severe disease compared to the general population. However, systematic information on post-acute COVID complications in doctors is very limited.

Aims: This study aimed to determine the symptoms, perceived determinants, health and occupational impact, and consequent needs relating to post-acute COVID complications in UK doctors.

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The interventions aimed at improving the levels of physical activity (PA) in children and adolescents diagnosed with heart disease did not produce the expected outcomes. Safe participation in sport activities proposed based on actual recommendations could be a solution to promote PA in this population. The aims of this study were to discover a causal diagram of sport participation in children and youth with heart disease and establish the factors that affect and are affected thereof through the use of questionnaires.

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